Organization
A CENTER FOR HUMAN DEVELOPMENT LTD
Active
Organization
A CENTER FOR HUMAN DEVELOPMENT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL WIDDER LCSW (OWNER)
(302) 736-1820
Entity
Organization
Contact information
Practice address
148 S. BRADFORD ST., DOVER, DE 19904
(302) 736-1820
(302) 736-5016
Mailing address
148 S. BRADFORD ST., DOVER, DE 19904
(302) 736-1820
(302) 736-5016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC-0000004
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0000180
DE
1041C0700X
Clinical Social Worker
Q1-0000249
DE
1041C0700X
Clinical Social Worker
Q1-0000503
DE
1041C0700X
Clinical Social Worker
Q1-0000831
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000032300
—
DE
Enumeration date
06/23/2006
Last updated
01/17/2013
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